Kodi tanthawuzo la "kugwiritsira ntchito chingwe cha umbilical pamtunda wa mwana"?
Izi zimamveketsedwa ndi amayi ambiri omwe ali ndi ultrasound, koma sikuti aliyense amamvetsetsa bwino lomwe tanthauzo lake, komanso momwe zinthu zilili zoopsa kwa thanzi la mwanayo. Choyamba, tiyeni tiyankhule za chomwe umbilical chingwe chiri chonse.
Msolo wa umbilical ndi mawonekedwe a anatomical, omwe amaimira chingwe chomwe mitsempha ya magazi ilipo. Ndi amene ali mgwirizano pakati pa mayi ndi mwana, mwachindunji kupyolera mu umbilical chord kwa mwana wamtsogolo zinthu zonse zofunikira zimabwera mkati, ndipo mankhwala a kagayidwe kanyama kamasokonezedwa.
Pamene chingwe cha umbilical chimawombera pamtunda wa mwanayo, madokotala amanena kuti ndi mthumba umodzi. Zinthu zoterezi siziyenera kuchititsa mantha amayi amtsogolo ndi mantha, tk. Nthawi zambiri, mawuwo amatha. Koma ndi kofunika kunena kuti mwina pangapezeke pakhosi pa khosi la mwanayo. Izi zimawonedwa, monga lamulo, pakati pa mimba, pamene mwanayo ali ndipamwamba kwambiri.
Nchifukwa chiyani khosi la mwanayo likulumikizidwa ndi chingwe cha umbilical?
Monga tafotokozera pamwambapa, chifukwa chachikulu cha chitukuko cha mkhalidwe umenewu ndi kutengeka kovuta kwa fetus, komwe kungakhale zotsatira za hypoxia. Komabe, chodabwitsa ichi chikhoza kuchitika pamene:
- mwana wamwamuna ali ndi chingwe chotalika kwambiri (kuposa masentimita 70);
- kuchuluka kwa amniotic fluid (polyhydramnios).
Kuphatikiza pa zifukwa zomwe tafotokozazi, nkofunikanso kunena kuti kuphwanya koteroko kungayambe mwachangu, i E. mwachisawawa (mwachitsanzo, mwanayo anatembenuka, ndipo chingwe cha umbilical chikulunga pamutu pake).
Zotsatira zake ndi zotani monga chingwe chovulaza?
Chifukwa chakuti chochitika ichi nthawi zambiri chimatha pokhapokha, sizikusowa kanthu kwa madokotala. Komabe, ngati kachilomboka akupezeka patatha masabata 37 ndipo pambuyo pake, mayi wapakati amatengedwa pa akaunti yapadera, yomwe imaphatikizapo kuyang'anitsitsa udindo wa umbilical mu mphamvu, pochita ultrasound mobwerezabwereza.
Malinga ndi chiwerengero, pafupifupi 10% mwa milandu yonse ndi zotsutsa zimabweretsa chitukuko cha mavuto. Mmodzi mwa iwo ndi kuponyedwa pansi, motero, hypoxia (kusowa kwa oxygen). Izi zikhoza kuwonedwa kokha ndi chingwe chachiwiri, cholimba ndi chingwe chozungulira khosi, chomwe chiri ndi zotsatira zoipa. Zikatero, kuti muwone bwinobwino momwe mwana aliri, matenda a cardiotocography ndi dopplerometry amachitika, omwe amachititsa kuphulika m'maganizo a mtima, komanso mkhalidwe wa magazi.
Ponena za zikhalidwe za kubadwa ndi chingwe chozungulira khosi, kusankha njira za kubereka kumadalira kwathunthu mtundu wa mlandu. Choncho, ngati mwanayo ali ndi zikopa zingapo (2 kapena kuposerapo) atapachikidwa pa sabata 38-39, ndiye kuti kubadwa kumachitika ndi gawo losungirako.
Choncho, pozindikira kuti ndi kovuta kukulunga chingwe pamutu wa mwanayo, tikhoza kunena kuti izi siziyenera kuchititsa mantha m'mayi wam'mbuyo, makamaka ngati izi zilipo. Ngati pali kukayikira kuti angathe kukhala ndi mavuto, madokotala amayang'anitsitsa bwinobwino chikhalidwe cha mwanayo, akuyesa zojambula zosiyanasiyana za hardware.